We are seeking a dedicated Accounts Billing Specialist to join a healthcare facility serving the Midwest region. This role involves managing the submission of clean claims to various insurance providers for hospital and clinic services, ensuring timely and accurate billing processes.

Key Responsibilities

• Prepare and submit clean claims electronically or via paper to insurance companies.
• Verify all necessary information for claim submission to ensure accuracy and timeliness.
• Collaborate with healthcare providers and departments to confirm correct charges, diagnoses, and procedures are reported.
• Follow up on unpaid claims within standard billing cycles.
• Address and resolve patient billing inquiries and complaints.
• Review insurance payments for accuracy and contract compliance.
• Communicate with insurance companies to resolve payment discrepancies.
• Identify and bill secondary or tertiary insurance carriers as needed.
• Manage all billing correspondence and mail promptly.
• Investigate claims involving third parties and file hospital liens when necessary.
• Send patient letters requesting additional payment information when required.
• Process late charges and refunds within established timeframes.
• Serve as the primary contact for all billing-related matters, including insurance and third-party claims.
• Maintain up-to-date knowledge of Medicare, Medicaid, and third-party payer billing requirements and changes.

Education and Experience

• High school diploma or GED equivalent is required.
• Proficiency with PC and experience in inpatient and outpatient hospital insurance claims filing and reimbursement principles is preferred.
• Ability to operate standard office equipment efficiently.

Requirements

• Completion of a Mandatory Reporter course at hire or within six months of employment.
• Compliance with all federal, state, and professional licensure and regulatory training requirements.

This position offers a full-time schedule, Monday through Friday, 8:00 am to 4:30 pm, within a supportive healthcare environment focused on accuracy and patient service.